Individual provider Active NPI

Julie Anna Doster Dodge, LMHC, ATR-P, MA

  • Mental Health Counselor
  • Burlington, WA
National Provider Identifier
1669161428
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61539526 Issued in WA
Practice address
281 S Burlington Blvd Ste 105
Burlington, WA 98233-1717
Phone
(360) 230-8321
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 21-497 WA
Mental Health Counselor 101YM0800X LH61539526 WA Primary

Addresses

Primary practice location

281 S Burlington Blvd Ste 105
Burlington, WA 98233-1717

Mailing address

281 S Burlington Blvd Ste 105
Burlington, WA 98233-1717
Phone (360) 230-8321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH61539526WAMDMental Health Counselor
21-497WAMDArt Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1669161428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 S BURLINGTON BLVD STE 105",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331717",
            "telephone_number": "360-230-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 S BURLINGTON BLVD STE 105",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331717",
            "telephone_number": "360-230-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "JULIE",
        "middle_name": "ANNA DOSTER",
        "credential": "LMHC, ATR-P, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "WA",
            "license": "21-497",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61539526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.